Individual
MS. GWYNNETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., J.D.
Contact information
Practice address
650 CLARK WAY, PALO ALTO, CA 94304-2300
(650) 326-5530
Mailing address
650 CLARK WAY, PALO ALTO, CA 94304-2300
(650) 326-5530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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